重症鼻饲病人防误吸的最佳证据实践研究  

Best evidence practice for preventing aspiration in critically nasogastric-feeding patients

作　　者：赖敏华 朱曼瑜 林丽霞 侯春怡 李粉娜 程贵粉 邱岚萍 庄丽璇 余立挺 许春霞 阚进宝 刘心 黄晓晴 黄嘉熙 LAI Minhua;ZHU Manyu;LIN Lixia;HOU Chunyi;LI Fenna;CHENG Guifen;QIU Lanping;ZHUANG Lixuan;YU Liting;XU Chunxia;KAN Jinbao;LIU Xin;HUANG Xiaoqing;HUANG Jiaxi(Guangdong Provincial Key Laboratory of Major Obstetric Diseases,Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology,Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine,The Third Affiliated Hospital of Guangzhou Medical University,Guangdong 510140 China)

机构地区：[1]广东省产科重大疾病重点实验室、广东省妇产疾病临床医学研究中心、粤港澳母胎医学高校联合实验室、广州医科大学附属第三医院,广东510140 [2]南方医科大学附属广东省人民医院(广东省医学科学院) [3]广州医科大学附属第一医院 [4]四川大学华西厦门医院

出　　处：《循证护理》2024年第15期2666-2672,共7页Chinese Evidence-Based Nursing

摘　　要：目的:以澳大利亚Joanna Briggs Institute(JBI)循证卫生保健模式为理论框架形成重症鼻饲病人防误吸的最佳证据,并应用于临床,验证其可行性及有效性。方法:2020年4月—2021年3月通过证据检索、证据评价、制定审查指标等方法构建新的重症鼻饲病人误吸预防与管理流程,然后通过对护士的防误吸护理知识得分和对新流程的落实情况等来评价新流程的应用效果。结果:护士的防误吸护理知识水平明显提高,鼻饲时病人翻身、吸痰等护理行为也得到改善(P<0.05)。结论:现有证据表明,重症鼻饲病人误吸预防与管理流程在临床实践中的应用有利于降低留置胃管病人发生误吸的风险,具有一定的有效性、可行性。Objective:To form the best evidence for preventing aspiration of nasogastric feeding in critically ill patients using the Australia Joanna Briggs Institute(JBI)evidence-based healthcare model as the theoretical framework,and to apply it to clinical practice to validate its feasibility and effectiveness.Methods:From April 2020 to March 2021,a new prevention and management process for aspiration of nasogastric feeding in critically ill patients was constructed through evidence retrieval,evidence evaluation,and development of review indicators.The application effectiveness of the new process was evaluated through assessments of nurses′knowledge scores on preventing aspiration of nasogastric feeding and the implementation status of the new process.Results:The nurses′knowledge level on preventing aspiration of nasogastric feeding significantly improved,nursing behaviors such as patient repositioning and suctioning during nasogastric feeding were greatly improved.Conclusion:Current evidence shows that apply the prevention and management process for aspiration of nasogastric feeding in critically ill patients which helps reduce the risk of aspiration in patients with gastric tube placement,has a certain level of effectiveness and feasibility in clinical practice.

关 键 词：鼻饲 误吸 管理 护理 预防 循证护理 

分 类 号：R472[医药卫生—护理学]